Depression Childhood Depression Print Link Between Self-Consciousness and Depression in Children Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Written by linkedin Written by Lauren DiMaria Lauren DiMaria is a member of the Society of Clinical Research Associates and childhood psychology expert. Learn about our editorial policy Lauren DiMaria Updated on August 29, 2019 Depression Overview Types Symptoms Causes & Risk Factors Diagnosis Treatment Coping ADA & Your Rights Depression in Kids Kevin Dodge / Blend Images / Getty Images Broody, introspective, self-conscious, even self-absorbed, are words parents might use to describe their teens from time to time. While it's true that many preteens and adolescents demonstrate these characteristics, research has shown there may be a link between depression in children and increased self-focus. In general, people with depression tend to think about themselves, examine their personalities, mull over their feelings, and question their motives more than non-depressed people do. While depression in children and adults can look (and feel) different, these tendencies may be shared by people with depression regardless of age. How Self-Consciousness Manifests in Children At first, it may sound counter-intuitive that a person with depression would be self-focused, but the reality is that depression tends to give people a heightened sense of self-consciousness. In turn, self-consciousness or a negative sense of self-awareness tends to increase negative emotional states (such as sadness, hopelessness, or anger). In these states, a person is more likely to focus on setbacks and negative experiences, which continues to feed the emotional cycle of depression. A child who is depressed might perseverate on a disagreement they had with a friend or be extremely worried and upset about a poor grade they received on a test. Studies have indicated that female children may be especially vulnerable to depression during the preteen years due to chronic peer stress combined with other environmental and genetic factors. How Depression Manifests in Children Depression can look and feel different for everyone who experiences it, but there can be some notable differences in how depression manifests in children compared to adults. For example, while an adult who is depressed may feel and seem sad, a child is more likely to appear irritable. Children are still learning how to identify and explain how they feel, which can make it more difficult for caregivers to notice depression. However, there are some symptoms of depression in children that are easier to spot. Your child may not display all of the symptoms, or may only show certain ones at specific times or in a particular environment (such as at home or school). A child who is depressed may show or experience: Academic declineExtreme shynessIntense sadnessSocial withdrawalTrouble sleepingAppetite changeFeelings of guiltVague physical symptoms (such as headaches, stomaches, joint pain) that are unexplained (not due to a medical condition, food allergy, etc.) If you are concerned about your child's wellbeing, don't hesitate to ask your pediatrician for help. They can connect you with mental health resources in the community or even your child's school to ensure they get the support they need. What Parents Need to Know About Childhood Depression Self-Consciousness in Depressed Children A child who appears self-absorbed or self-conscious is not necessarily depressed. In general, all children go through periods of self-absorption and self-focus and may display feelings of self-consciousness. In fact, these behaviors are a normal stage of child development. But if your child's self-consciousness is extreme and they have persistent symptoms of depression (generally lasting longer than two weeks), you'll want to discuss their behavior with your pediatrician. They will rule out other causes for your child's symptoms, such as a medical condition or a mental health disorder. When to Take Action It can be very difficult for a child to navigate a depressive state. Negative thoughts, self-consciousness, and intense emotions tend to be cyclic and can have a compounding effect, leading to more negative thoughts and feelings. Children may not understand the feelings they have, and they may be afraid or ashamed of how they feel. Even if you ask them directly, they may not be able to express to you that they are depressed. As adults do, children and teens with depression need help as they learn to navigate, and eventually manage, the condition. If your child is depressed, counseling can help them cope with the cycle. If you think your child might be depressed, don't try to diagnose the condition yourself. Your child's pediatrician, a mental health provider, or school counselor can properly evaluate your child. Accurate diagnosis and comprehensive treatment are essential for managing depression at any age. How to Talk to Your Child About Depression Was this page helpful? Thanks for your feedback! Everything feels more challenging when you're dealing with depression. Get our free guide when you sign up for our newsletter. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial policy to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Watkins E, Teasdale JD. Adaptive and maladaptive self-focus in depression. Journal of Affective Disorders. 2004;82(1):1-8. doi:10.1016/j.jad.2003.10.006 Sloan DM. It’s All About Me: Self-Focused Attention and Depressed Mood. Cognitive Therapy and Research. 2005;29(3):279-288. doi:10.1007/s10608-005-0511-1 Reynolds, Cecil R, and Randy W Kamphaus. Handbook of Psychological and Educational Assessment of Children: Personality, Behavior, and Context. 2, e ed., vol. Chapter 12: Assessment of Childhood Depression, New York, N.Y., Guilford Press, 2003, pp. 259–283. Additional Reading Bhatia, MD, FAPA, Richa. “Childhood Depression.” Anxiety and Depression Association of America, 8 Oct. 2018. Hankin, B. L., et al. (2015). Depression from childhood into late adolescence: Influence of gender, development, genetic susceptibility, and peer stress. Journal of Abnormal Psychology, 124(4), 803-816. doi:10.1037/abn0000089 Reynolds, Cecil R, and Randy W Kamphaus. Handbook of Psychological and Educational Assessment of Children: Personality, Behavior, and Context. 2, e ed., vol. Chapter 12: Assessment of Childhood Depression, New York, N.Y., Guilford Press, 2003, pp. 259–283. Continue Reading